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Plan Your Private Retreat

Tell us what you need. We’ll design your retreat with intention and care.

Complete the form below and we’ll begin crafting your personalized healing experience. Once received, our team will contact you within 48 hours with retreat options and next steps.

Let’s begin designing your private retreat.

Please complete this short form so we can understand your needs and create a personalized healing experience just for you.

SECTION 1 — ABOUT YOU

SECTION 2 — YOUR INTENTION

What are you currently experiencing? (select all that apply)

SECTION 3 — RETREAT STRUCTURE

Which retreat format are you interested in?
1-Day Reset
2-Night Renewal
4-Night Rebirth
Not sure — please guide me
Are your dates flexible?
Yes
No
Will this retreat be for:
Just me
2 people
3+ people

SECTION 4 — YOUR SUPPORT + MODALITIES

What type of healing experiences are you drawn to? (select all that apply)

SECTION 5 — ACCOMMODATION + COMFORT

Would you like a private accommodations included?
Yes
No
I'm open to options
What type of environment feels most supportive?
Quiet + deeply private
Nature / jungle
Clean + minimalist
Soft + cozy
Light ocean energy
Luxury Villa
No preference

SECTION 6 — HEALTH & SAFETY

Are you currently under medical or mental health care?
Yes
No
Are you pregnant or postpartum?
Yes
No
Not applicable

SECTION 7 — BUDGET & LOGISTICS

What is your approximate retreat budget (USD)?
Under $1,000
$1,000–$2,000
$2,000–$3,000
$3,000–$5,000
$5,000+
I’m flexible depending on offerings
Will you need airport transportation?
Yes
No
Not sure yet

SECTION 8 — FINAL DETAILS

By submitting this form, I understand that private retreats with Ital Life Wellness are holistic, wellness-based experiences and not a substitute for medical or psychological treatment. I participate voluntarily and agree that all activities will be tailored according to the information I have provided. I release Ital Life Wellness and its facilitators from liability for any injuries or unexpected reactions that may arise.

 WHAT HAPPENS NEXT

Once you submit this form, we will review your intentions, availability, and preferred retreat format. A member of our team will contact you within 48 hours to begin designing your personalized retreat and provide pricing options based on your selections.

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